FPA to become a reality in Illinois - Details of Agreement
Thursday, May 18, 2017
Posted by: Susan Swart
Thank you for your patience as we wrapped up the process of writing our amendment based on our agreement with the Illinois State Medical Society.
Below is the summary (attached as well). Please be aware that will be transferring our language for APRN practice from SB 642 to HB 313. This will create a single Nurse Practice Act bill for passage. The amendment should be filed either tomorrow or Monday morning.
HB 313, Senate Amendment 1: Full Practice Authority for APRNs
Agreed between ISAPN and ISMS:
- Grants an Illinois licensed Advanced Practice Registered Nurse, certified as a nurse practitioner, nurse midwife, or clinical nurse specialist the ability to practice without a written collaborative agreement.
- A notarized attestation, signed by both the APRN and collaborating physician of 1) 4000 hours of clinical experience and 2) 250 hours of continuing education or training after first attaining national certification, 3) such documentation shall be provided to IDFPR upon request.
The continuing education and training shall be in the APRNs area of certification and set forth by Department rule.
Effective date of January 1, 2018 - all APRNs who meet the above requirements will be required to file the notarized attestation as of January 1, 2018.
- Scope of practice for APRNs with Full Practice Authority:
- No written collaborative agreement in any practice setting.
- Authority to prescribe legend and Schedule II-V controlled substances.
- When prescribing benzodiazepines and opioids:
- a consultation relationship between the APRN and a physician must be registered with the PMP and specific opioids indicated for prescribing.
- This is not a signed agreement, no delegation and no written document.
- Communication (type of communication is determined by the two professionals involved) is required at least once every 30 days between the APRN and physician for the purpose of discussing opioid or benzodiazepine therapy.
- The physician's name is not required on any prescription for an APRN with full practice authority.
APRNs who do not meet the above requirements for Full Practice Authority will work with a collaborative agreement with a physician. Scope of Practice and WCA requirements and delegated prescriptive authority will be as currently regulated.
APRNs with Full Practice Authority will be eligible for a controlled substance license and not have a"mid-level provider controlled substance license"
Added language regarding fee splitting:|
As set forth in Section 22.2 of this Act, a licensee under this Act may not directly or indirectly divide, share, or split any professional fee or other form of compensation for professional services with anyone in exchange for a referral or otherwise, other than as provided in Section 22.2.
APRN Title: An APRN must clearly designate their credentials as an APRN and if hold a doctorate degree provide clarification that she/he is not a medical doctor or physician.
THIS IS AN AGREED TO BILL AND WILL FACE NO OPPOSITION IN EITHER THE SENATE OR THE HOUSE. WE ANTICIPATE THIS GOING TO THE GOVERNOR'S DESK FOR SIGNATURE LATER THIS SUMMER.
HB 313 SA1 OVERVIEW - FINAL v2.pdf
If you have any questions regarding this bill, please send your inquiries to Susan Y Swart firstname.lastname@example.org.